| NPI | 1598881583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA LYNN MARCINKO Administrative Director 949-435-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA SW11409) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-07-31 |